Schwartz Robert A, Reynoso-Vasquez Nicole, Kapila Rajendra
Department of Dermatology, Infectious Diseases, and Pathology, Rutgers New Jersey Medical School, Newark, New Jersey.
Indian J Dermatol. 2020 Jan-Feb;65(1):1-4. doi: 10.4103/ijd.IJD_277_19.
Nail coloration has many causes and may reflect systemic disease. White nails (leukonychia) are common; rubronychia is rare, whereas green (chloronychia) is occasionally evident. Chloronychia, the Fox-Goldman syndrome, is caused by infection of an often damaged nail plate by . is an opportunistic pathogen known for localized and systemic infections. It can spread cryptically in a variety of ways, whether from an infected nail to a wound either autologously or to a patient as a surgical site infection, and many represent a threat to elderly, neonatal, or immunocompromised patients who are at increased risk of disseminated pseudomonas infection. We will review the Goldman-Fox syndrome as an occupational disorder of homemakers, nurses, plumbers, and others often with wet hands. At a time when hand washing is being stressed, especially in healthcare settings, examination of nails should be emphasized too, recalling the possibility of surgical site infection even with a properly washed and gloved medical care provider. may be a community-acquired infection or a hospital or medical care setting-acquired one, a difference with therapeutic implications. Since healthcare workers represent a threat of nosocomial infections, possible guidelines are suggested.
指甲变色有多种原因，可能反映全身性疾病。白甲（白甲症）很常见；红甲很少见，而绿甲（绿甲症）偶尔可见。绿甲症，即福克斯 - 戈德曼综合征，是由一种通常受损的指甲板被……感染引起的。……是一种以局部和全身感染而闻名的机会致病菌。它可以通过多种方式隐匿传播，无论是从感染的指甲自体传播到伤口，还是作为手术部位感染传播给患者，许多情况都对老年人、新生儿或免疫功能低下的患者构成威胁，这些患者发生播散性假单胞菌感染的风险增加。我们将把戈德曼 - 福克斯综合征作为家庭主妇、护士、水管工和其他经常手部潮湿的人的职业性疾病进行综述。在强调洗手的时候，尤其是在医疗环境中，指甲检查也应受到重视，要记住即使医疗护理人员正确洗手并戴手套，也存在手术部位感染的可能性。……可能是社区获得性感染，也可能是医院或医疗护理环境获得性感染，这一差异具有治疗意义。由于医护人员构成医院感染的威胁，因此提出了可能的指导方针。
